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篇名 比較三種清腸劑於大腸直腸鏡檢清腸品質成效之回溯性研究
卷期 17:2
並列篇名 Comparing the Effects of Three Cleansing Agents on Bowel Preparation Quality in Colonoscopy: A Retrospective Study
作者 劉文琪劉雪娥
頁次 020-026
關鍵字 清腸準備大腸鏡檢癌症篩檢Bowel preparationColonoscopyCancer screening
出刊日期 202104

中文摘要

目的大腸直腸癌發生率節節攀升,在台灣地區,大腸癌發生、死亡人數,每年呈快速增加的趨勢,因此大腸鏡檢查為早期發現腸道病變的最重要工具及利器,然而,腸鏡檢查檢最主要的程序就是檢查前的腸道準備,因為清腸的品質與檢查的成功率有直接的相關性,故本研究利用癌篩資料庫瞭解不同的清腸劑之清腸品質的成效比較。
方法 本研究採回溯性研究設計(Retrospective Study),使用國健署癌症管理系統資料庫於2019年於某院執行大腸直腸鏡篩檢之成年個案為研究樣本。結果共收集2,111人次之資料筆數,清腸劑種類為A(OSP):1,108人次(52.5%)、B(PEG):487人次(23.1%)、C(PEG):496人次(23.5%)、Other:20人次(0.9%),本研究依照國健署資料庫(Aronchick量表)分級進行資料分析,良好Excellent 9人次(0.4%)、適當Good 1,506人次(71.3%)、尚可Fair 590人次(27.9%)、不良Poor 6人次(0.3%);檢查醫師科別為腸胃科醫師執行人次為1,739人次(82.4%)、直腸外科醫師執行人次372人次(17.6%)。
結論 本研究發現,病患執行大腸鏡檢清腸藥物類別與清腸程度有直接的關係,但是其影響因素仍然有許多。所以,落實遵守藥劑的服用方式才是王道。

英文摘要

Purposes The incidence of colorectal cancer has been reported worldwide. Moreover, in Taiwan, the incidence and mortality of colorectal cancer have been increasing rapidly each year. Colonoscopy is considered as one of the most important tools for early detection of intestinal lesions. However, pre-examination bowel preparation is an important step in colonoscopy, as the quality of bowel preparation directly attributes to the success rate of the examination. Therefore, in this study, we compared the bowel preparation quality of different cleansing agents using a cancer screening database.
Methods A retrospective study design was adopted to examine adults who underwent colonoscopy screening at our hospital in 2019 as listed in the Taiwan Cancer Registry of the Health Promotion Administration.
Results The data of 2,111 patients were collected. The types of bowel cleansing agents used are as follows: A(OSP): 1,108 cases (52.5%); B(PEG): 487 cases; C(PEG): 496 cases; and others: 20 cases (0.9%). Data analysis was conducted based on the classification of the HPA database (Aronchick Scale), which indicated the following: Excellent: 9 cases (0.4%); Good: 1,506 cases (71.3%); Fair: 590 cases (27.9%); and Poor: 6 cases (0.3%). Colonoscopy was performed by gastroenterologists in 1,739 (82.4%), and rectal surgeons in 372 (17.6%) cases.
Conclusions In this study, we found that the type of bowel cleansing agents used directly related to the extent of bowel cleansing attained; however, there might be many other influencing factors involved. Therefore, it is important to adhere to the mode of administration of the medicine.